Individual
MRS. CHINIQUA THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3201 N 4TH ST, LONGVIEW, TX 75605-5145
(903) 236-4291
Mailing address
3201 N 4TH ST, LONGVIEW, TX 75605-5145
(903) 236-4291
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
209315
TX
Other
Enumeration date
01/20/2015
Last updated
01/20/2015
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